Skull fracture (peds): Difference between revisions
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==Management== | ==Management== | ||
* | *Antibiotics indicated for: | ||
**Open fracture | **Open fracture | ||
**Depressed fracture | **Depressed fracture | ||
**Involves sinus | **Involves sinus | ||
**Leads to pneumocephalus | **Leads to pneumocephalus | ||
*[[Ceftriaxone]] 2gm IV + metronidazole 500mg +/- [[vancomycin]] 1gm IV | *[[Ceftriaxone]] 2gm IV + [[metronidazole]] 500mg +/- [[vancomycin]] 1gm IV | ||
==See Also== | ==See Also== | ||
Revision as of 01:10, 14 July 2016
Background
Pediatric
- fractures are predictors of intracranial injury
- infants higher risk for fracture since thinner bones
- most fractures have hematomas
Diagnosis
- All skull fracture require Head CT
- Skull fracture.JPG
Depressed open skull fracture in a 5 yo M.
Differential Diagnosis
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Management
- Antibiotics indicated for:
- Open fracture
- Depressed fracture
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV